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www.ahrq.gov/diagnostic-safety/resources/issue-briefs/distributed-cognition-er-nurses4.html
August 01, 2022 - Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Recommendations and Areas for Future Research
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Table of Contents
Distributed Cognition and the Role of Nurses in Diagnostic Safety in the Emergency Department
Introduction
The The…
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www.ahrq.gov/sites/default/files/2025-03/berner-report.pdf
January 01, 2025 - Final Progress Report: Reducing Harm to Patients from Diagnostic Errors
Final Progress Report
Reducing Harm to Patients from Diagnostic Errors
Eta S. Berner, EdD, Principal Investigator
Team Members:
Marcie H. Battles, MS, Project Assistant
Mark L. Graber, MD, Consultant
Gordon D. Schiff, MD, Consultant
Pat …
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www.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/nursing-home/workplace-safety-items-english.docx
September 01, 2024 - SOPS® Workplace Safety Supplemental Items for Nursing Homes
SOPS® Workplace Safety Supplemental Items for the SOPS Nursing Home Survey
Language: English
Purpose: These supplemental items were designed for use with the core Agency for Healthcare Research and Quality (AHRQ) Surveys on Patient Safety Culture® (SOPS®) …
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/teamwork/pf-engagement-slides.html
July 01, 2023 - Patient and Family Engagement for Perinatal Safety
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Patient and Family Engagement for Perinatal Safety
Slide 2: Learning Objectives
Image: Four ascending steps show the learnin objectives:
Explore the role of p…
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www.ahrq.gov/patient-safety/settings/labor-delivery/perinatal-care/modules/strategies/rapid-response/rapid-response-slides.html
July 01, 2023 - Rapid Response for Perinatal Safety: Slide Presentation
AHRQ Safety Program for Perinatal Care
Slide 1: AHRQ Safety Program for Perinatal Care
Rapid Response for Perinatal Safety
Slide 2: Learning Objectives
Image: Three ascending steps show the learning objectives:
Define components of a rapid …
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www.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/co-statesum.pdf
July 01, 2015 - CHIPRA - Spotlight on Colorado
July 2015
This brief highlights the major strategies, lessons learned,
and outcomes from Colorado’s experience in the quality
demonstration funded by the Centers for Medicare &
Medicaid Services (CMS) through the Children’s Health
Insurance Program Reauthorization Act of 2009 (CHIP…
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety/vol2/Comden.pdf
January 01, 2003 - ST–PRA
model building requires knowledge of human factors, human reliability,
probability theory, group … Managers and policymakers can decide if the size of the risk
requires action on their part and, if so … How interfacility and interchain
variances are addressed during model building requires good process … This type of State-level assessment requires trust between all parties, a
significant commitment of … The public-private partnering
demonstrated in this study requires trust and cooperation between the
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/advances-in-patient-safety-2/vol2/Advances-Emanuel_19.pdf
February 20, 2008 - Attitude change requires a
motivating experience and knowledge uptake
requires a teachable moment, … Executive Track
Bringing patient safety to the point of real progress in the clinical setting requires … To be effective, it requires familiarity with a suite of
teaching methods. … Instituting
new norms of clinical care requires that a community of practice adopt the new behaviors
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www.ahrq.gov/sites/default/files/wysiwyg/patient-safety/reports/issue-briefs/Telediagnosis-brief2.pdf
August 03, 2020 - clinicians
and patients to address (Table 1).1-3,5-13 Beyond the infrastructure to enable it, telediagnosis requires … Role of the Patient and Family in Telediagnosis
Coproducing an accurate and timely diagnosis requires … • If lab testing or imaging requires a
separate in-person visit, it may discourage
their completion
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/surgery/tools/surgical-complication-prevention/glucose_control_audit.docx
December 01, 2017 - Perioperative blood glucose management is a complex process that requires the coordination and responsiveness
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/teamwork/supporting/professional-tool.docx
May 01, 2017 - Another Professional Tool
Problem Statement: Health care delivery is a multidisciplinary practice that requires
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www.ahrq.gov/sites/default/files/wysiwyg/nhguide/5_TK1_T2-Working_with_a_lab_final.pdf
October 01, 2016 - Most
labs have this capability and producing the report requires little additional effort for lab staff
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www.ahrq.gov/ncepcr/tools/obesity/obpcp-intro.html
May 01, 2014 - Wood Johnson Foundation Prescription for Health Initiative. 4 Effective linkages (i.e., bridging) requires
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www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-232-section-5-table-6.pdf
January 01, 2013 - Initial volume
resuscitation commonly requires 40-60 mL/kg but
can be as high as 200 mL/kg.
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www.ahrq.gov/professionals/prevention-chronic-care/improve/coordination/webinar01/fuzzysets_slides.html
July 01, 2013 - certifable Fully out of the set: membership = 0 Slide 10 Calibration
Assignment of set membership requires … Analysis requires considerable time and effort (iteration, and lack of fully featured software tools) … Gathering and analyzing QCA data for meaningful outcomes can be time-intensive and requires in-depth
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/prevention-chronic-care/improve/coordination/webinar01/sl_fuzzyset.ppt
May 14, 2013 - of the set: membership = 0
blueshieldca.com
Calibration
Assignment of set membership requires … results
Limits to causal analysis (like regression, association does not imply causality)
Analysis requires … team is involved
Gathering and analyzing QCA data for meaningful outcomes can be time-intensive and requires
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/quality-resources/tools/chtoolbx/develop/develop.doc
January 01, 2003 - Successful quality measure development requires that the specifications of these key data elements (numerator … children receiving the urgent care they need within a given time frame, calculation of the quality measure requires … Such testing requires specific expertise.
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www.ahrq.gov/hai/tools/surgery/modules/on-boarding/sr-exec-slides.html
December 01, 2017 - Slide 7: Intervention Requires Technical and Adaptive Efforts
Say:
Despite numerous technical approaches … Fourth, the surgical safety team requires a cross-functional approach to problem solving and critical … This awareness requires them to be more visible and accessible to frontline staff.
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_smsguide.pdf
April 12, 2016 - If your Board requires
http://www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed
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www.ahrq.gov/sites/default/files/wysiwyg/professionals/education/continuing-ed/moc_haguide.pdf
January 14, 2016 - If your Board requires more than one round of follow-up data collection, you
will be automatically directed